Clarification 2

The Central Office has received a request for clarification of the advice published in Coding Clinic for HCPCS Fourth Quarter 2020, Pages 1-3, on breast reconstruction when compared to the advice published in CPT Assistant September 2022 Pages 18-19. Coding advice for breast reconstructions has evolved since the publication of Coding Clinic for HCPCS Fourth Quarter 2020. In light of updated breast reconstruction guidance published in the September issue CPT Assistant , the previous Coding Clinic for HCPCS advice has changed. The coding updates are as follows: • CPT code 19380 , Revision of reconstructed breast (eg, significant removal of tissue...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This clarification addresses updated coding guidance for breast reconstruction and explains that newer published advice supersedes prior guidance. It is intended for coding professionals who work with breast reconstruction documentation and need to understand the scope of the update, the source publications involved, and the broader categories of procedure reporting addressed in the article.

Why This Topic Matters

The article matters because it signals a change in published coding advice and helps readers identify which guidance source is current for breast reconstruction cases. It is relevant to accurate code selection, policy alignment, and consistent application of guidance across similar operative scenarios.

What You Will Learn

  • Which published guidance documents are being compared
  • What kinds of breast reconstruction documentation the update addresses
  • How the article frames the relationship between older and newer coding advice
  • Which procedure-reporting scenarios are discussed at a high level

Who Should Read This

  • Medical coders
  • Coding auditors
  • Reimbursement staff
  • Clinical documentation specialists
  • Revenue cycle professionals

Codes Discussed


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The AHA Coding Clinic for HCPCS includes:

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